Healthcare Provider Details

I. General information

NPI: 1730746827
Provider Name (Legal Business Name): CHRISTINE ANN SPALDING RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 E STATE ST
ALLIANCE OH
44601-4913
US

IV. Provider business mailing address

1783 N NEWTON FALLS RD
NORTH JACKSON OH
44451-9623
US

V. Phone/Fax

Practice location:
  • Phone: 330-821-4455
  • Fax:
Mailing address:
  • Phone: 330-538-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.271
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: